Mastering Value-Based Care Contracts: A Payer’s Playbook
Master value-based care contracts with our payer's playbook. Elevate your strategies for effective management.
Master value-based care contracts with our payer's playbook. Elevate your strategies for effective management.
Embarking on the journey through the intricacies of healthcare, an understanding of pivotal peer review management terms is indispensable. This blog explores the top 10 essential terms that underscore the quality, safety, and efficacy of clinical practices.
Explore the significance of medical reviews in healthcare management, focusing on informed decision-making and improved patient outcomes.
Healthcare performance improvement initiatives emerge as key catalysts, intricately shaping the efficiency and effectiveness of payer operations. This article explores the substantial impact these initiatives wield in optimizing payer processes, ultimately elevating the quality of patient care.
Medicare Advantage plans are a popular alternative to Original Medicare for many seniors who want more coverage and flexibility. But what exactly are Medicare Advantage plans and how do they work?
Medicare Advantage growth aggravates prior authorization burdens in several ways. Most medical groups, providing care to patients with Medicare Advantage plans, must comply with more prior authorization requirements.
Payviders offer both insurance coverage and healthcare services to patients. This concept is a relatively new development in the healthcare industry, and it has the potential to significantly impact the way that healthcare is delivered and financed.
Medicaid growth has been driven by several factors, including changes in federal policy, public pressure, and a greater understanding of the benefits of Medicaid for underserved populations.
Psychiatrist shortage by the numbers: The current workforce of about 45,580 psychiatrists must increase by 2,800 to meet today’s demands for psychiatric care. This works out to a 6.4 percent shortage. By 2025, that shortage could be as high as 6,090 psychiatrists, or 12 percent, according to the U.S. Department of Health and Human Services.
There are numerous health-related challenges facing rural areas of the U.S., including geographic isolation, an aging population, and a shortage of providers and hospitals, especially as rural hospitals close at unprecedented rates.